| NPI | 1770473233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN10001060) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-09-29 |